Percutaneous application of fibrin sealant in surgically recalcitrant urinomas following oncocytoma resection

Surgical application of fibrin sealant is well established as a hemostatic agent. However, reports of its percutaneous application and its uses within the urinary tract are limited. Presented below are two patients with recalcitrant urinomas despite diversion therapy following partial nephrectomy f...

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Bibliographic Details
Published in:Diagnostic and Interventional Radiology
Main Authors: Michael Y. Liu, David P. Duncan, Gerant Rivera-Sanfeliz
Format: Article
Language:English
Published: Turkish Society of Radiology 2020-01-01
Online Access: http://www.dirjournal.org/archives/archive-detail/article-preview/percutaneous-application-of-fibrin-sealant-in-surg/54840
Description
Summary:Surgical application of fibrin sealant is well established as a hemostatic agent. However, reports of its percutaneous application and its uses within the urinary tract are limited. Presented below are two patients with recalcitrant urinomas despite diversion therapy following partial nephrectomy for oncocytomas. Both patients were successfully treated with percutaneous application of fibrin sealant via a sheath at the time of percutaneous perinephric drain removal. Follow-up imaging demonstrated resolution of the urinomas with stabilization of creatinine. Percutaneous application of fibrin sealant may be considered as an alternative treatment for recalcitrant urinomas prior to surgical intervention, though more studies are required to confirm its effectiveness and safety.
ISSN:1305-3825
1305-3612